A) a nurse is caring for a patient with uncreative colitis and severe bloody diarrhea. The patient has already had 10 loose, bloody stools in 2 shifts. Which is the highest priority for the nurse?
- Bowel sounds
- Skin integrity
- Blood pressure
- Respiratory rate
B) A client return to the unit after having a laparoscopic cholecystectomy: the nurse caring for the client is aware that is potential complication is
- Splenic rupture
- Peritonitis
- Pulmonary atelectasis
- Decubitus ulcer
Ans A) Bowel Sound
because bloody diarrhea in ulcerative colitis inflammation occurs
inflammation cause your colon to contact and empty frequently, which is why you may experience frequently diarrhea and urgent bowel movement
In bowel movement you auscultat bowel sound
Ans B) Peritonitis
when peritoneal exposure to bile acids during the laparoscopic removal of gall bladder was trigger of granulomatous peritonitis this patient
but severe complications such as peritoneal adhesion, intestinal obstruction and fistula
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